DEWITT DENTAL ASSOCIATES, PC
NPI 1194870626
Dentist - General Practice in De Witt, IA

Active since January 24, 2007
907 11TH ST, DE WITT, IA 52742(563) 659-3411(563) 659-2831 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dewitt Dental Associates, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEWITT DENTAL ASSOCIATES, PC (NPI 1194870626) is a healthcare organization registered as a general practice in De Witt, Iowa and active in the NPI registry since January 2007. The organization lists Kelly A Siegel, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1194870626
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDEWITT DENTAL ASSOCIATES, PC
Location Address907 11TH STDe Witt, IA 52742-1207
Mailing Address907 11th StDe Witt, IA 52742-1207 · (563) 659-3411 · Fax (563) 659-2831
Fax(563) 659-2831
Organization SubpartNo
Authorized OfficialKelly A SiegelBusiness Manager · (563) 659-3411
Enumeration DateJanuary 24, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1194870626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in IA · 07420
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

907 11TH ST, De Witt, IA 52742

Other Identifiers 1

Medicaid1283150IA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
907 11TH ST
DE WITT, IA 52742
Dentist (General Practice)
907 11TH ST
DE WITT, IA 52742
Clinic/Center (Dental)
907 11TH ST
DE WITT, IA 52742
Dentist
907 11TH ST
DE WITT, IA 52742

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dewitt Dental Associates, PC's NPI number?

The NPI number for Dewitt Dental Associates, PC is 1194870626. It was assigned to this organization in the NPPES registry on January 24, 2007.

Where is Dewitt Dental Associates, PC located?

Dewitt Dental Associates, PC is located at 907 11th St, De Witt, IA 52742. The listed phone number is (563) 659-3411.

What is Dewitt Dental Associates, PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Dewitt Dental Associates, PC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.